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Home My WebLink About92-2442 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 2442/1 b - .-OS -7'::2.. Date "" . ~ '/0 t?- 1::: BUI~G ~ ~ ~HANIC3? PmpenyOwnO' ~ ~~~ Job Address: 3~ ~ _ _ ~_ ParceII.D.# //-()J" -;;L/- 00/0 - CJc.39oo. O/rO Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code: Description of Work '-/1';;<.,,:) A- / c. Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL '/- J- DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE City License Registration # 71 State Certified License# Signature Company Address Telephone# Valuation or Contract Price / 7 9~,> -e oV ./ *'~~~E ~~L Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final PillMalNG '" ~~[02~ Breakers Ducts Insl. Compressor Final ~ Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PEmtIT CI'IY OF ZEPBYRHILLS BUII.DIBG DEPAR'DtllXT fY\ ~ DA{)~~S \--\ ~ \ b 1) It (J ~ Ave:: r PHONE 7 8' ~- ff .:3 -7 &, OWNER · S RAKE ~ D t.. ./\I OWNER'S ADDRESS S II \ JOB ADDRESS 3 8 5 y. g 29-( h '7 f-C..; i \ s ~(, LEGAL DESquPTImI: LDI'(S) PARCEL LD.'''\- , 1- L t? 2- ( BI.OCK SUBDIVISION DOlO -0'3700- 0' ~Q. I WORK PROPOSED:_llev Construction _Addition _Alteration _Repair _Install _Sign _!!love _Deaolish PROPOSED USE: Single Faaily _KIF _' of Ilfnits _K/H _~rcial _Indust. _S~. Pool Other _Rest:aurant &: Hea1t:h Depar~t Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHttERCIAL : AtTACH (2) PLOI' PLAlIS &: (2) SEI'S OF BUILDING PLUS &: (1) SEI' ENERGY FORMS. '** AtTACH (3) SETS OF BUllDDlG PI.MS &: (1) SET mmRGY FORKS.** **ropy OF roWJ'BACT RIlQm:RED. _BUILDING $ PERI!IITS REQUESTED EYD ~ 77'S' - Valuation of Tot:a1 Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Va1uation of IKechanical Installation _PLUMBING GAS KOOFDIG SPECIALTY TYPE OF roNSTRUCTION: _Block _Pralle _Steel Other FINISHED FLOOR ELEVATIONS: FI' . IS PROJECT lli FLOOD ZONE AREA? YES NO *****r************~********************** ~"~ mBTRACI'OR SECTION BUTT.DER aJIIPANY St:ate Cert. or Regist. ,. Signature City License Registration , .;_>_.--~"---"" *.*"***t~:jl',!il-_it***************************** ,'--- ' '" -~.."- --.., ---11-- /J LI/l r) ~ //'7 // ~rt:. or R~gist:. _, e ---,If- ~ r fV tf I- - (.7 Co 1::)'>t.1cense Reg1strat1on t ***********~~*~********************** PLOIBER aJIIPANY State Cert:. or Regist:. , City License Registration , ****************************************** Signat:ure --.,-----? ~ .// (/'f/ 1./ .' Signat:ure ' / . aJIIPMY (p ~ S I' t" ( Ikn---1?:v.. State Cert:. or Regist. , ~ I C 0 4;;t "fu '7 City License Registration I -t:t 71 . ****************************************** 0T1IF.R aJIIPAln StaLe ~:ct:. or Regist. ft City License Registration , ************..****.********************.*. Signatnre APPLICAnON APPROVED BY <-Jf"".'b <'~ _~~UVV PERKIT OFFICER. COhD I T IONS OF PERM I T (~FF I DA'-J I T A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit aay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or c0ntractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the'contT\ctor is net licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under ;tate law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended ,Jork, they are advised to contact the City of Zephyrhills Building Departlent, !BI3) 7BB-6611. Furtheraore, if the owner has hired a cOltractor or contractors, he is advised to have the contractor!s) sign portions of the "Contractor Sections" of this applicatio,l for which they Mill b~ responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPArT FEES AND UTILITY CONNECTION FEE~ D. CONSTRUCTION LIEN L~~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have be~n provided with a copy of "Florida's Construction, Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is sOleone other than the "owner", I certify that I have obtained 1 copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in thls application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby aade to obtain a p,rlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issu ,nce of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zon,og regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulitions of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actiu"s I lust take to be in coapliance. Such agencies include but are not lilited to: I Denartlent of Environaental ReQuIatiofi - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent t Southwest Florida Water HanaQe.ent Dis~rict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlV Corps of EnQineers - Seawalls, Do':ks, Navigable Waterways t Denartaent of Health ~ Rehabilitative 'lervices. Environ_ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQencv - A"bestos abatelent I also certify that, if fill laterial i~ to be used in Flood Zone "A" or "A,ete.., it is' understood that a drainage plan addressing a "colpensating volule" will Qe sublitted which is prepared by a professional engineer registered in the state of Florida prior to perait issuance. " A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official froa thereafter requiring a correction of errors in plaoo! construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such pertit is coaaenced within six aonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of SlX lonths after the tiae the work is cOI.enced. One 90 day extension of tile, lay be allowed for the perlit Hith fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged durin] each six _onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECOH) A NOTICE OF COMKENCEHENT KAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN'~ING, CONSULT WITH YOUR LE~DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKMENCEMENT. JOBS UNDER ~2,500 IN VALUt DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , ll/_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me th i 5 was acknowledged 19_ by whet is pel- sona 11 y known to mC" Ctl- who has produced as identification and who did/did not take an oath. who is personally known to me Dr who has pl-oduced as identification and who did/did not take an oath. (Si gnatLll-e) (SignatLn-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Pr i nted or Starn! !ed) NOTARY PUBLIC -""""'~""--~.' ',--,"'~' .ji~ 'f f;()LI:'S 4112 f;()JllliII)ITI()JllliIIJllliIt7 4JllliI1) t1I:ATIJllliIf7 37338 Kosslk Road Zaphyrhllls, FL 33541 (813) 783-3723 PAOP05AL , , No. Data t, - I "Z. - Go "Z.. Sheet No. St. Cart. .CAC042667 Proposal Submitted To: Work To Be Performed At: / Name Street City State Phone 5'" III 1--1 i J\ ~ T2. 2~f. )., 7 ~ i II c,. (:!. 78Z-3178 Street c3 R S<i'R /s-M #(/6-. City 7'71/L. 71..J.. .. fl 5 pr. Date of Plans ' Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of ~\.A.CLt-J\.sl.... d,~;1;..U f\....,t:. (11,.;)..) '"oJ '2.pl~-i~~.s(~ ST~....P C';"P!>.( LLl:\-{.., 5 Kw tt~f-E f\, T'>I?A''''; ""tv, ~.... {\lVC=-o;;, L\Nc=.... r",..J~, V(Z.A',v L.,~c;".. ~,^-~h...JMI....k. ~lt <0 ScJf~ly<j, ~r"~ l'i2.E-T......jtfJ, T'STA-l. Lc>wvol~/"I-'j~ W':I1L'..r~ '^...,~.\- N'^~toJ~t-~ ~y :r~,J '-\.f"-L W'~Q.AtJ-\.1 ONe Y~CL ?ft-tLts.( h.~~o~Gy Cu(~'s Ale ~ \-\-e......... II ~1 . ,... ~ ~ ~ ~ I " tJ "'" c.. L4- y ~ l\.. 0 /oJ ~ p,....<t...J..,. (\\{LMfJ...f,="tf... ~,...l c.,.......~Lus',v5 v...,~ ............ A rJ"....~ ~_f-v--/l.. '- . " IJ +-t-..... ~( All material is guaranteed to be as specified. and the above work to be performed in accordance with the drawings and specifications submit~ed for above work and c~pleted in a substantial workmanlike manner for the sum of O,vt-I/t~"'-SflJ-/'d. S'c\J-<(!J J..I.....~.l~ t.I;~ r f='vCJt!::-( ~>) Dollars [$I?q:5"'~ l. with payments to be made as follows: .A'itl)<40 I I ss-,ao ,)..1 s..~ 0 (.. Co :-\tAdl i),.J """,h..-t,or t Any altal'lltion or deviation from above specifications involving axtra costs, will be executed only upon written orders. and will become an IlXtI'll charge over and above the estimate. All agreemants contingent upon strikeS. accidents or delays beyond our control. Owner to carry fire. tornado end other naau;sary insul'llnceupon above work. Work. man's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted ~ I.c...h ~Il f) 1'1. Co I r p~?aCR Note- This proposal may be withdrawn by us if not accepted within ~ O;da'ys. / ACCEPTANCE OF PROPOSAL The above prices, specifications and conditiOns are satisfactory and are hereby accepted. You are ,authorized to do the work as specified. Payment will be made as outlined above. Signature Date Signature